A randomized controlled trial comparing two vocational models for persons with severe mental illness | Knowledge Translation for Employment Research Center

Authors:	Bootes, K. & Chapparo, C.
Year Published	2007
Publication	Journal of Consulting and Clinical Psychology
Volume	75
Number	6
Pages	968-982
Publisher	The American Psychological Association
Background	Most individuals with severe mental illness (SMI) express a desire to work in competitive jobs, defined as regular community jobs, with nondisabled coworkers, paying minimum wage or higher (McQuilken et al., 2003). Yet surveys typically have found competitive employment rates of 15% or less in this population (Rosenheck et al., 2006; Salkever et al., 2007) pg. 968
Purpose	The purpose of this study was to compare two vocational rehabilitation models for individuals with severe mental illness. The Individual Placement and Support (IPS)model of supported employment and the Diversified Placement Approach (DPA)were reviewed and compared.
Setting	This report examined vocational outcomes for clients enrolled in Thresholds, a large psychiatric rehabilitation agency in Chicago, IL.
Sample	The sample was 187 clients with severe mental illness.
Data Collection	Data were obtained through participant interviews, chart review, information from staff and agency records, direct queries to Thresholds staff (to corroborate other data sources), Medicaid claims, and hospital discharge forms.
Control	Clients were assigned to one of two groups (IPS or DPA) for employment services.
Findings	IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year follow up were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes.
Conclusions	The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.
URL	http://www.ncbi.nlm.nih.gov/pubmed/18085913
Disabilities	Emotional disturbance
Populations	Male & Female
Outcomes	Employment acquisition \| Full-time employment \| Part-time employment
NIDILRR Funded	No
Research Design	Randomized Controlled Trials (RCTs)
Peer Reviewed	Yes

Year Published

2007

Publication

Journal of Consulting and Clinical Psychology

Volume

75

Number

6

Pages

968-982

Publisher

The American Psychological Association

Background

Most individuals with severe mental illness (SMI) express a desire to work in competitive jobs, defined as regular community jobs, with nondisabled coworkers, paying minimum wage or higher (McQuilken et al., 2003). Yet surveys typically have found competitive employment rates of 15% or less in this population (Rosenheck et al., 2006; Salkever et al., 2007) pg. 968

Purpose

The purpose of this study was to compare two vocational rehabilitation models for individuals with severe mental illness. The Individual Placement and Support (IPS)model of supported employment and the Diversified Placement Approach (DPA)were reviewed and compared.

Setting

This report examined vocational outcomes for clients enrolled in Thresholds, a large psychiatric rehabilitation agency in Chicago, IL.

Sample

The sample was 187 clients with severe mental illness.

Data Collection

Data were obtained through participant interviews, chart review, information from staff and agency records, direct queries to Thresholds staff (to corroborate other data sources), Medicaid claims, and hospital discharge forms.

Control

Clients were assigned to one of two groups (IPS or DPA) for employment services.

Findings

IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year follow up were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes.

Conclusions

The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.

URL

http://www.ncbi.nlm.nih.gov/pubmed/18085913

Disabilities

Emotional disturbance

Populations

Male & Female

Outcomes

Employment acquisition | Full-time employment | Part-time employment

NIDILRR Funded

No

Research Design

Randomized Controlled Trials (RCTs)

Peer Reviewed

Yes